VSIM Steps - Sandra Littlefield

3:28 You asked the patient: How many meals do you eat each day? The patient said: I usually eat three meals a day. 3:38 You asked the patient: Have you had any changes in your appetite over the past month? The patient said: My appetite has been about the same. 3:49 You asked the patient: Have you lost or gained weight over the past month? The patient said: No, I am about the same weight. 3:57 You asked the patient: Tell me about any changes you have had in your sleep over the past few weeks? The patient said: It isn't easy to sleep in this place. 4:09 You asked the patient: Do you have any trouble falling asleep? The patient said: No, not usually. 4:15 You asked the patient: Do you nap during the day? If so, how often and for how long? The patient said: I sleep a lot because there isn't much to do here. 4:27 You asked the patient: Do you have nightmares or vivid dreams on a regular basis? The patient said: No, not usually. 4:36 You asked the patient: Approximately how many hours of sleep do you get each night? The patient said: I sleep about 7 hours a night. 4:48 You asked the patient: Do you have energy to do the normal activities necessary to get through the day? 5:10 The patient said: You think I'm a horrible person because I'm in jail. You are no better than I am.nYou answered: Are you feeling that no one understands how you feel? nYou used the therapeutic technique of translating to feelings. 5:14 You asked the patient: Do you have energy to do the activities that give you enjoyment? 5:30 The patient said: Have you seen the security guard with the blond hair? He can take me back to my cell anytime.nYou answered: We are here to talk about you today. nYou used the therapeutic technique of giving information and setting limits. 5:39 You asked the patient: I would like to ask you a series of questions about how you are feeling to help me better understand how together we can start to plan your care. These are questions I ask all of the patients I see. May I ask you these questions? 6:08 The patient said: If you can't get me stronger medicine, why don't ......................................CONTINUED........................